Provider Demographics
NPI:1558319970
Name:DALLEY, KAREN J (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:J
Last Name:DALLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 N TOWN CENTER DR
Mailing Address - Street 2:SUITE 514
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-0514
Mailing Address - Country:US
Mailing Address - Phone:702-869-0070
Mailing Address - Fax:702-869-0071
Practice Address - Street 1:653 N TOWN CENTER DR
Practice Address - Street 2:SUITE 514
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-0514
Practice Address - Country:US
Practice Address - Phone:702-869-0070
Practice Address - Fax:702-869-0071
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6498207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2019327Medicaid
NVNV7399OtherBCBS OF NEVADA
NV0299896OtherGHI
NV160027394OtherRAILROAD MEDICARE
NV2019327Medicaid
NV0299896OtherGHI
NVVMD6498Medicare PIN